EMBRY-RIDDLE AERONAUTICAL UNIVERSITY
SMALL UAS CHALLENGE
Registration Form
Registration for ______, July _____, 2015 (____ / 15)
Day of Week Date (filled out by ERAU)
Personal Information
(Personal information will only be used for the competition and not for marketing)
Name: ______Age ______
First Last
Address: ______
Street City State Zipcode
Cell Phone: ( ) - (Used only for contact at the airshow)
AMA Number (If Applicable) : ______EAA Member? Y/N
Flight Information
sUAS Experience:
Approximate Hours: ______Years: ______
sUAS Type with Most Experience: ______
Manned Flight Experience:
FAA Certificate? Y/N Type: ______
Approximate Hours: ______Years: ______
Participants 18 and older please read and sign page 2A
Participants 17 and under please have a parent or legal guardian read and sign page 2B
AGREEMENT TO WAIVE LIABILITY, ASSUME RISK, AND INDEMNIFY;
RELEASE FOR USE OF PHOTOS AND IMAGES
Experimental Aircraft Association, Inc. – AirVenture 2015
Drone Cage
As part of the consideration for being offered the opportunity participate in the Drone Cage at EAA® AirVenture® Oshkosh™(a “Drone Cage Experience”),I, the Participant signing this Agreement below, agree as follows:
Assumption of Risk –For purposes of this Agreement, a drone is defined as an unmanned aerial vehicle operating under remote control. I understand that being present in a drone cage while drones are flying involves risks. Serious injury or death can result from many causes, including without limitation: operator error or other operator failure; engine or mechanical failure; defects in the drone or control device; loss of contact between drone and control device caused by interference or other causes; loss of fuel or contaminated or improper fuel; inadequate maintenance; inadequate emergency response; drone crashes caused by collisions or other causes; or inadequate design, construction or maintenance of the drone cage. Injuries could be minor such as bruises, scratches or sprains; major such as eye injuries, broken bones or concussions; or catastrophic such as paralysis, severe burns or death. I (for myself, my heirs, family members, personal representatives and assigns) assume all risks and full responsibility for any injury or death arising from my participating ina Drone Cage Experience.
Agreement to Waive Liability and Not to Sue - I (for myself, my heirs, family members, personal representatives and assigns) hereby release and discharge: (a) Experimental Aircraft Association, Inc. (“EAA”); (b) EAA Aviation Foundation, Inc. (“Foundation”); (c) Embry-Riddle Aeronautical University, Inc.; (d) other drone cage organizers, operators, and administrators; (e) the officers, directors, members, employees, agents, divisions, affiliates and volunteers of each of those entities; and (f) the drone operators(collectively, the “Releasees”) from, and agree not to sue the Releasees or any of them for, any and all claims against any of the Releasees for any injury or death arising from my participation in my DroneCage Experience, or any of the circumstances related to my Drone Cage Experience. This release, discharge and agreement not to sue applies to all legal rights, including those resulting from any negligence of Releasees, other than those resulting from the gross negligence or willful misconduct of such Releasee.
Indemnification - I agree to indemnify and hold the Releasees harmlessfrom any claims, costs, damages, and liabilities, including attorney’s fees, arising from my participation in a Drone Cage Experience. This duty to indemnify and hold the Releasees harmless applies even if any of the Releasees is negligent; however, indemnification of any Releasee is not required if such Releasee is grossly negligent or has engaged in willful misconduct.
Photo and Image Release –I hereby give the Releasees the absolute and irrevocable right and permission to use photographs, pictures and/or images of myself taken at or derived from my participation in a Drone Cage Experience(the “Images”) in whole or in part, with or without alteration or modification, in any and/or all manner and in any and/or all media, in connection with EAA’s or the Foundation’s activities, programs, publications and publicity.
Representation and Warranty – I hereby represent and warrant that I am at least eighteen (18) years of age and am not restricted from entering into this Waiver and Release Agreement, and that I have read it in its entirety prior to executing it.
Legal Advice - I know that I can talk to my legal advisor about this Agreement and I have either done so or chosen not to. I understand that I have the right and have been given the opportunity to object to and bargain about the provisions of this Agreement. I am voluntarily signing this Agreement and intend it to be the unconditional release of all liability to the greatest extent allowed by law.
Before Signing, Carefully Read This Entire Agreement
Date:
Participant’s Signature
Please Print Participant’s NameRev. 6/15
Page 2A
MINOR - AGREEMENT TO WAIVE LIABILITY, ASSUME RISK, AND INDEMNIFY;
RELEASE FOR USE OF PHOTOS AND IMAGES
Experimental Aircraft Association, Inc. – AirVenture 2015
Drone Cage
The young person listed below (the “Minor Participant”) wants to take part in the Drone Cage at EAA® AirVenture® Oshkosh™ (a “Drone Cage Experience”). I represent and warrant that I am the Minor Participant’s parent or legal guardian and that I have the authority to enter into this Agreement on behalf of the Minor Participant. As part of the consideration for being offered the opportunity to participate in the Drone Cage Experience, the Minor Participant and I agree as follows:
Assumption of Risk – For purposes of this Agreement, a drone is defined as an unmanned aerial vehicle operating under remote control. The Minor Participant and I understand that being present in a drone cage while drones are flying involves risks. Serious injury or death can result from many causes, including without limitation: operator error or other operator failure; engine or mechanical failure; defects in the drone or control device; loss of contact between drone and control device caused by interference or other causes; loss of fuel or contaminated or improper fuel; inadequate maintenance; inadequate emergency response; drone crashes caused by collisions or other causes; or inadequate design, construction or maintenance of the drone cage. Injuries could be minor such as bruises, scratches or sprains; major such as eye injuries, broken bones or concussions; or catastrophic such as paralysis, severe burns or death. If the Minor Participant is old enough to understand these risks, I have explained them to him or her. The Minor Participant and I (for ourselves, our heirs, family members, personal representatives and assigns) assume all risks and full responsibility for any injury or death arising from taking part in the Drone Cage Experience.
Agreement to Waive Liability and Not to Sue–TheMinor Participant and I (for ourselves, our heirs, family members, personal representatives and assigns) hereby release and discharge: (a) Experimental Aircraft Association, Inc. (“EAA”); (b) EAA Aviation Foundation, Inc. (“Foundation”); (c) Embry-Riddle Aeronautical University, Inc.; (d) other drone cage organizers, operators, and administrators; (e) the officers, directors, members, employees, agents, divisions, affiliates and volunteers of each of those entities; and (f) the drone operators (collectively, the “Releasees”) from, and agree not to sue the Releasees or any of them for, any and all claims against any of the Releasees for any injury or death arising from the Minor Participant’sparticipation in a DroneCage Experience, or any of the circumstances related to his or herDrone Cage Experience. This release, discharge and agreement not to sue applies to all legal rights, including those resulting from any negligence of Releasees, other than those resulting from the gross negligence or willful misconduct of such Releasee.
Indemnification–The Minor Participant andI agree to indemnify and hold the Releasees harmlessfrom any claims, costs, damages, and liabilities, including attorney’s fees, arising from the Minor Participant’sparticipation in a Drone Cage Experience. This duty to indemnify and hold the Releasees harmless applies even if any of the Releasees is negligent; however, indemnification of any Releasee is not required if such Releasee is grossly negligent or has engaged in willful misconduct.
Photo and Image Release – The Minor Participant and I hereby give the Releasees the absolute and irrevocable right and permission to use photographs, pictures and/or images of the Minor Participant taken at or derived from his or her participation in a Drone Cage Experience(the “Images”) in whole or in part, with or without alteration or modification, in any and/or all manner and in any and/or all media, in connection with EAA’s or the Foundation’s activities, programs, publications and publicity.
Representation and Warranty – I hereby represent and warrant that I am at least eighteen (18) years of age and am not restricted from entering into this Waiver and Release Agreement, and that I have read it in its entirety prior to executing it.
Legal Advice - I know that I can talk to my legal advisor about this Agreement and I have either done so or chosen not to. I understand that I have the right and have been given the opportunity to object to and bargain about the provisions of this Agreement. I am voluntarily signing this Agreement and intend it to be the unconditional release of all liability to the greatest extent allowed by law.
Before Signing, Carefully Read This Entire Agreement
Parent or Guardian’s Signature Please Print Minor Participant’s Name
Date:
Please Print Parent or Guardian’s NamePage 2B